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or may be mistakenly thinking of their pet's food as they dictate?

Posted By: ks on 2007-10-18
In Reply to: Like the way you're thinking :) - MT50

Subject: or may be mistakenly thinking of their pet's food as they dictate?




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doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...

nm
get mistakenly dinged by QA a lot
Subject: get mistakenly dinged by QA a lot

for this (they take the s off on an account that still wants it in) because we have to keep straight which accounts want it and which don't
food question
Subject: food question

The pt is seen for abdominal pain. She states he ate shrimp, potatoes, onions, peppers, and *"shak-a-bot". Any ideas? Thank you!
Pivot is a food - see link
Subject: Pivot is a food - see link

http://rpdcon40.ross.com/mn/Ross+MN+Nutritional+Products.nsf/web_Ross.com_XML/BF7AEC0810EF6CFD85256EF2006F85B3?OpenDocument

only fast food I know is from McDonald's
Subject: only fast food I know is from McDonald's

encounter in my work are highly intelligent professionals who don't abide by your "fast food" rule of speech. If they did, I would not trancribe for them. Your explanation is ridiculous!
Food bolus wouldn't fit in anywhere there
Subject: Food bolus wouldn't fit in anywhere there

would it? 


If you can't find it, man, it ain't to be found!


RAST food panel
Subject: RAST food panel

I believe it is some kind of food allergy test.
Thick-It (food thickener)
Subject: Thick-It (food thickener)


symptoms relavent to food??...sm
Subject: symptoms relavent to food??...sm

I hate it when the dictators rush through their reports!  Hope this helps. 
food thickened honey consistency
Subject: food thickened honey consistency

Under medications, the doc states "food thickened honey consistency, all liquids" this is all I have to described this, does this cound correct to anyone? Thanks.


Past Medical History: antiphospholipid syndrome, lupus.


honey-thickened food consistency....sm
Subject: honey-thickened food consistency....sm

so that liquids are never thin - that everything is thickened so that the patient does not aspirate, they also say honey-thickened liquids. 


atopic dermatitis associated with food allergies. sm
Subject: atopic dermatitis associated with food allergies. sm





Atopic Dermatitis - by Thomas Bieber, Donald Y. M. Leung - 656 pages
Food Allergy - by Dean D. Metcalfe, Ronald A. Simon, A. Hugh Sampson - 591 pages



Natural history of food hypersensitivity in children with atopic ...





Patients with atopic dermatitis and food hypersensitivity who were ... In 20 patients undergoing a third rechallenge, no food hypersensitivity was lost. ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2738792&dopt=Abstract - Similar pages


"Jevity" it's a liquid food supplement.
Subject: "Jevity" it's a liquid food supplement.

Kinda like Ensure.
There is a "super food" called Pregest™ : ? nm
Subject: There is a "super food" called Pregest™ : ? nm


Benefiber® most likely. Benefil is also a brand of dog food!! nm
Subject: Benefiber® most likely. Benefil is also a brand of dog food!! nm


Mannatech? It's a natural food supplement (nm)
Subject: Mannatech? It's a natural food supplement (nm)

nm
You should dictate what the doc says.
Subject: You should dictate what the doc says.

If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M

brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm

Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that

Good says it stands for keep-open-vein.  So, it should fit, and it also is all CAPs. 
Learned a new word-sitophobia-fear of food
Subject: Learned a new word-sitophobia-fear of food

Learn something new every day in this job. 


Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...

they will say "via Seldinger, or Seldinger technique."  I don't believe they would do this en route either.  Are you sure you are hearing "sandwich?"  I have been transcribing ER reports for years and I have never heard this term used.  Anyway, I would not guess on this one.  IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm

nm
Medication - s/l Ferrofoo or Ferro food? No diagnosis dictated.
Subject: Medication - s/l Ferrofoo or Ferro food? No diagnosis dictated.


All I could think of was cereal puffs but wasn't sure if there was a name brand infant food.
Subject: All I could think of was cereal puffs but wasn't sure if there was a name brand infant food.


welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.

nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm

x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm


LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore

who knows!! Something like that just check your aspirin bottle. Good luck!!
doctor didn't dictate mg????
Subject: doctor didn't dictate mg????


The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.


okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?


Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm

like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!! 
Nevermind SI joint belt...So easy to hear through the crunching of food.
Subject: Nevermind SI joint belt...So easy to hear through the crunching of food.


If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm


Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm


Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly


wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word


did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50

nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Derm docs often dictate "Allergy to CARBO mix" - sm
Subject: Derm docs often dictate "Allergy to CARBO mix" - sm

I don't know what the full word is, but this validates your hearing the partial "carbo"
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?


there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm

if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart. 


Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm

do not always examine all aspects on PE.  Hope this helps!
Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.


right but it's a liquid thickener, not food thickener
Subject: right but it's a liquid thickener, not food thickener


maybe deli something as in deli food? All I can think of. nm
Subject: maybe deli something as in deli food? All I can think of. nm


still thinking
Subject: still thinking

Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.

Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along

those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm

x